# MR. ROBERT JAMES SHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710160726
- **Gender:** Man
- **Credential:** LDO, CPOT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FC0801X | Contact Lens Fitter | — | NULL | — |
| 156FX1202X | Optometric Technician | — | NULL | — |
| 156FX1800X | Optician | DO00002080 | WA | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 04/19/2017